Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

The Arc Of North Carolina (NPI 1710208327)

Field	Value
Entity Type	Organization
Organization	The Arc Of North Carolina
Address	30 Garfield St Ste D
City	Asheville
State	NC
ZIP	28803
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 17, 2010

Payer Source	Total Paid
Medicaid	$14.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2013	Habilitation, educational, waiver; per hour	53,100	$140	$7.5M
T2012	Habilitation, educational; waiver, per diem	26,660	$200	$5.3M
T1017	Targeted case management, each 15 minutes	2,640	$290	$775.9K
H2015	Comprehensive community support services, per 15 minutes	4,950	$90	$425.3K
S5150	Unskilled respite care, not hospice; per 15 minutes	4,040	$90	$375.9K
H2025	Ongoing support to maintain employment, per 15 minutes	640	$100	$63.6K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	400	$150	$61.4K
H0045	Respite care services, not in the home, per diem	740	$80	$61.3K
T2013TF	N/A	190	$180	$34.4K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

The Arc Of North Carolina — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2013	Habilitation, educational, waiver; per hour	58	190	29,090	$150	$9.1M
T2012	Habilitation, educational; waiver, per diem	43	110	21,340	$180	$6.1M
H2015	Comprehensive community support services, per 15 minutes	163	250	10,060	$130	$2.4M
H2025	Ongoing support to maintain employment, per 15 minutes	51	60	6,380	$120	$1.3M
T1017	Targeted case management, each 15 minutes	76	220	1,700	$150	$1.3M
H0045	Respite care services, not in the home, per diem	63	80	4,450	$100	$993.7K
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	109	120	2,780	$150	$966.8K
S5150	Unskilled respite care, not hospice; per 15 minutes	86	170	4,310	$80	$958.4K
T2013TF	N/A	22	40	190	$170	$51.8K

Nearby Providers

Other providers in the same ZIP code as The Arc Of North Carolina, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Rehabilitation Specialists, Inc.	NC	Speech-Language Pathologist	$0	$26.1M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$17.5M
The Bair Foundation	NC	Foster Care Agency	$0	$17.3M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$14.3M
Tender Loving Care Homes, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.1M
Asheville Pediatric Associates	NC	Pediatrics Physician	$0	$10.9M
Asheville Children's Medical Center, P.A.	NC	Pediatrics Physician	$0	$9.4M
Crossroads Treatment Centers Of Asheville, PC	NC	Multi-Specialty Clinic/Center	$81.2K	$6.5M
Orthopaedic Surgery Center Of Asheville, LP	NC	Ambulatory Surgical Clinic/Center	$5.1M	$11.7K
William Bridges	NC	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

The Arc Of North Carolina — Billing Profile & Reimbursement Data

Sign up for The Arc Of North Carolina — Billing Profile & Reimbursement Data policy alerts

The Arc Of North Carolina — Billing Profile & Reimbursement Data

Sign up for The Arc Of North Carolina — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References